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What insurers list for NPs in Illinois
Reduced practice · AANPListed rates from insurer price files · 2026 Q4
That's 97% of what Medicare pays an NP in Illinois. Based on 2,240 NP billing groups.
Typical = the middle of 7 insurers' typical rates, one vote per insurer, so the largest insurer (30% of groups) can't set it alone.
Insurer by insurer
Listed rates from insurer files, not amounts paid · 2026 Q4. Highest first. Only insurers with 5 or more solo NP billing groups for this visit. "Top 25% get" needs 10+ groups.
| Insurer | Typical rate | Top 25% get | Based on | |
|---|---|---|---|---|
| Ambetter | $88.72 | $99.13 | 168 groups | Check mine → |
| Blue Cross and Blue Shield of Illinois | $87.42 | $87.42 same | 679 groups | Check mine → |
| Oscar Health | $81.06 | $81.06 same | 276 groups | Check mine → |
| Cigna | $79.00 | $79.00 same | 265 groups | Check mine → |
| Optum Behavioral Health | $77.20 | $81.06 | 82 groups | Check mine → |
| UnitedHealthcare | $65.75 | $76.52 | 158 groups | Check mine → |
| Aetna (CVS Health) | $56.24 | $56.24 same | 612 groups | Check mine → |
| MedicarePublic | $78.74–$84.69 | CMS 2026, NP rate |
How practice type changes the rate
| Solo NP practice You? | $79.00 | 2,240 groups |
| NP-only group | $79.00 | 335 groups |
| NP + physician group | $79.00 | 3,300 groups |
| Large organization | $79.00 | 1,081 groups |
Platforms in Illinois
See every platform's listed rates → Some platforms now charge a per-session fee. Estimate what it costs you →
What platforms pay NPs in Illinois
From NPs' own reports, anonymous. A platform's median shows once 5 NPs report it.
No NP has reported platform pay for Illinois yet for this visit. Be the first.
Paid through a platform? Add what you get for one 99213 visit. About 30 seconds, no sign-up. See where you stand right away.Need a collaborating physician?
Illinois requires a physician agreement. State law requires a career-long collaborative agreement, or limits at least one element of NP practice.
Most NPs pay $499–$599 a month for collaboration. At $114.62 a 99214 in Illinois, that is about 4–5 visits a month.
NP Collaborator matches NPs with collaborating physicians in every state that requires one.
Talk to NP CollaboratorSee if collaboration pays for youFee range from NP Collaborator's Fair Price for Collaboration Report (2,000+ contracts). Visit rate: listed rates across all insurers.
See the full picture for Illinois
- What the top 25% of NP groups get from each insurer, your negotiation target
- Who gets paid more: solo vs group vs large organizations
- A free dashboard to save your rates and track your insurer requests
Every typical rate, Medicare, Medicaid, the offer check and the letter stay free without signing up.
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Full detail for Illinois
Practice types, every visit code, each insurer by practice type and NP-owned vs physician-led billing.Show full detail
Full detail for Illinois
By practice type · 99213 Follow-up visit, simpler
All insurers together. Groups differ in more than practice type; this is a comparison of listed rates, not a promise.
| Practice type | Typical rate | Based on |
|---|---|---|
| Solo NP practice | $79.00 | 2,240 groups |
| NP-only group | $79.00 | 335 groups |
| NP + physician group | $79.00 | 3,300 groups |
| Large organization | $79.00 | 1,081 groups |
| Physician group | $89.22 | 1,914 groups |
Every visit code
Solo NP typical rate across insurers, next to Medicare 2026 and Illinois Medicaid NP rates.
| Visit | Solo NP typical | Medicare | Medicaid |
|---|---|---|---|
| 99214 Follow-up visit, moderate | $114.62 | $112.57–$121.08 | — |
| 99213 Follow-up visit, simpler | $79.00 | $78.74–$84.69 | — |
| 99215 Follow-up visit, complex | $155.00 | $160.10–$172.20 | — |
| 99204 New patient visit | $149.40 | $148.49–$160.45 | — |
| 99205 New patient visit, complex | $197.19 | $199.07–$215.68 | — |
| 90792 Psychiatric intake (evaluation) | $167.07 | $170.23–$179.09 | — |
| 90833 Therapy add-on, 30 min | $67.86 | $68.77–$72.28 | — |
| 90836 Therapy add-on, 45 min | $78.64 | — | — |
| 90837 Therapy, 60 min | $126.72 | — | — |
| G2211 Ongoing-care add-on | $15.59 | $14.66–$15.59 | — |
Insurer by practice type
Each insurer's typical rate for 99213. Cells need 5+ billing groups. Tap an insurer for every code.
| Insurer | Solo NP practice | NP-only group | NP + physician group | Large organization |
|---|---|---|---|---|
| Ambetter | $88.72 | $84.69 | $89.22 | $99.63 |
| Blue Cross and Blue Shield of Illinois | $87.42 | $87.42 | $87.42 | $87.63 |
| Oscar Health | $81.06 | $81.06 | $81.06 | $81.06 |
| Cigna | $79.00 | $79.00 | $79.00 | $79.00 |
| Optum Behavioral Health | $77.20 | $73.34 | $77.20 | $65.41 |
| UnitedHealthcare | $65.75 | $64.43 | $66.32 | $76.82 |
| Aetna (CVS Health) | $56.24 | $56.24 | $56.24 | $58.54 |
NP-owned vs physician-led billing
Who owns the billing group, by insurer, for 99213 (number of groups in brackets). It varies by insurer: in some, NP-owned groups list lower; in others, higher.
| Insurer | NP-owned | Physician-led | Difference |
|---|---|---|---|
| Aetna (CVS Health) | $56.24 (819) | $56.24 (833) | 0% |
| Ambetter | $84.69 (254) | $89.22 (409) | -5% |
| Blue Cross and Blue Shield of Illinois | $87.42 (934) | $87.42 (1,273) | 0% |
| Cigna | $79.00 (454) | $79.00 (199) | 0% |
| Optum Behavioral Health | $77.20 (135) | $77.20 (102) | 0% |
| Oscar Health | $77.20 (477) | $81.06 (187) | -5% |
| UnitedHealthcare | $64.44 (176) | $66.32 (297) | -3% |
More: all 25 states · 99214 in every state · 90792 in every state · guides